Active NPI
George Nicholas Veneziano, OTR L
- Occupational Therapist
- Keansburg, NJ
National Provider Identifier
1124107479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0086791
- Practice address
- 103 Franklin Ave
Keansburg, NJ 07734-3145 - Phone
- (732) 769-2447
- NPI assigned
- Nov 6, 2006
- Last updated
- Oct 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0086791 | NY | Primary |
Addresses
Primary practice location
103 Franklin Ave
Keansburg, NJ 07734-3145
Mailing address
103 Franklin Ave
Keansburg, NJ 07734-3145
Phone (732) 769-2447
Other names 1
- George Nicholas Veneziano
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0086791 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225411200000",
"number": "1124107479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 FRANKLIN AVE",
"city": "KEANSBURG",
"state": "NJ",
"postal_code": "077343145",
"telephone_number": "732-769-2447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 FRANKLIN AVE",
"city": "KEANSBURG",
"state": "NJ",
"postal_code": "077343145",
"telephone_number": "732-769-2447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENEZIANO",
"first_name": "GEORGE",
"middle_name": "NICHOLAS",
"credential": "OTR L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2008-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "0086791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GEORGE",
"last_name": "VENEZIANO",
"middle_name": "NICHOLAS",
"code": "2",
"type": "Professional Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.